| NPI | 1407202427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: IL 209-014262) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209014262) |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2025-01-27 |